Organization Active NPI

Sun Orthopaedic Surgery PC

  • Orthopaedic Surgery Physician
  • Flushing, NY
National Provider Identifier
1790791184
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
220000 Issued in NY
Legal business name
SUN ORTHOPAEDIC SURGERY PC
Practice address
13625 37TH Ave Ste 304
Flushing, NY 11354-4169
Phone
(718) 461-2666
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yan Sun, MDNPI 1497796478
Title
Chairman
Phone
(718) 461-2666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 220000 NY Primary

Addresses

Primary practice location

13625 37TH Ave Ste 304
Flushing, NY 11354-4169

Mailing address

9 Graduate CT
East Setauket, NY 11733-1079
Phone (631) 828-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000705 NY Part B Supplier - Clinic/Group Practice 6709835879 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

168 Canal St
Ste 312
New York, NY 10013
Phone (212) 343-8210

129 Main St
Unit 826
Stony Brook, NY 11790

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1790791184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GRADUATE CT",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331079",
            "telephone_number": "631-828-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 37TH AVE STE 304",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544169",
            "telephone_number": "718-461-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN ORTHOPAEDIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "718-461-2666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "220000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.